Events & Bootcamps | iWorth Technologies Kenya

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BOOTCAMP Robotics/Ai Bootcamp

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Enrollment Form

Register for Bootcamp / Event

Please provide the student, school, and parent/guardian details below.

Selected Bootcamp / Event *

Section 1: Student Information

Student Full Name *

Age (Years) *

Gender *

Current Class / Grade *

Section 2: School Details

Name of Current School *

School Town / City

School Type / Curriculum *

Section 3: Parent / Guardian Contact Details

Parent / Guardian Full Name *

Relationship *

Primary Phone / WhatsApp *

Alternative Phone (Emergency Contact)

Email Address *

Residential Area / Estate

Section 4: Student Learning Profile

Prior Coding / Robotics Experience *

Will the student bring their own laptop? *

Any Known Allergies? *

Special Dietary, Medical, or Physical Accommodations (Optional)

Section 5: Payment & Verification

Payment Status *

Paybill Business No. 247247

Account Number 898711

Program Fee KES 4,000 / child

M-PESA Instructions: Go to M-Pesa > Lipa na M-Pesa > Paybill > Enter 247247 > Acc 898711 > Enter Fee > Enter PIN. Fill your confirmation details:

M-Pesa Transaction Code *

M-Pesa Sender Name

M-Pesa Phone Number

Section 6: Consent & Agreement

Media & Photography Consent: I grant permission for iWorth Technologies to photograph/video my child during robotics lab activities for project documentation and graduation memories. Code of Conduct & Safety: I understand and agree to the bootcamp code of conduct and safety regulations. *

Events, Bootcamps & Workshops

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